Launching January 2027

Type 2 Diabetes

Type 2 Diabetes At A Glance

  • Type 2 diabetes affects how the body uses glucose, one of its main sources of energy.
  • It develops when the body becomes resistant to insulin or does not make enough insulin to keep blood sugar within a healthy range.
  • Symptoms often develop gradually and may include increased thirst, frequent urination, fatigue, blurred vision, slow-healing sores, or numbness and tingling in the hands or feet.
  • Risk factors include family history, excess weight, physical inactivity, prediabetes, high blood pressure, high cholesterol, and increasing age.
  • Treatment may include healthy eating, regular physical activity, weight management, blood sugar monitoring, medications, and sometimes insulin.
  • Type 2 diabetes is a lifelong condition, but many people successfully manage it and reduce the risk of complications through ongoing treatment and healthy habits.

Table of Contents

Table of Contents

What Is Type 2 Diabetes?

Type 2 diabetes is a long-term condition that affects how your body uses glucose (blood sugar), which is one of your body’s main sources of energy. Normally, a hormone called insulin helps move glucose from your bloodstream into your cells to be used for energy. With type 2 diabetes, your body either does not use insulin effectively (called insulin resistance) or does not make enough insulin to keep your blood sugar within a healthy range. As a result, glucose builds up in the bloodstream instead of being used by your cells.

Type 2 diabetes often develops gradually over many years and may not cause noticeable symptoms at first. If left untreated, high blood sugar can damage your heart, kidneys, eyes, nerves, and blood vessels. The good news is that many people successfully manage type 2 diabetes through healthy lifestyle changes, regular medical care, medications, and monitoring their blood sugar.

Learn More

Type 2 Diabetes – NIH MedlinePlus
https://medlineplus.gov/type2diabetes.html

Provides easy-to-understand information about type 2 diabetes, including symptoms, diagnosis, treatment, and preventing complications.

Type 2 Diabetes – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabetes

Explains what type 2 diabetes is, how it develops, risk factors, and treatment options.

How Common Is Type 2 Diabetes?

Type 2 diabetes is one of the most common chronic diseases in the United States. More than 38 million Americans have diabetes, and about 90–95% of those cases are type 2 diabetes. Millions of adults also have prediabetes, which increases their risk of developing type 2 diabetes if healthy lifestyle changes are not made.

Learn More

National Diabetes Statistics Report – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/diabetes/data/statistics-report/index.html

Provides the latest information about how common diabetes is in the United States and who is most affected.

What Symptoms Might You Notice?

Some people with type 2 diabetes have no symptoms, especially in the early stages. Others may notice symptoms that develop gradually over time.

Common symptoms may include:

  • Increased thirst
  • Frequent urination
  • Increased hunger
  • Fatigue or feeling tired
  • Blurred vision
  • Slow-healing cuts or sores
  • Frequent infections
  • Numbness or tingling in the hands or feet
  • Unexplained weight loss
  • Darkened areas of skin, especially around the neck or underarms

How Is Type 2 Diabetes Diagnosed?

Your healthcare provider can diagnose type 2 diabetes using blood tests that measure your blood sugar levels. They will also review your medical history, symptoms, and risk factors.

Common diagnostic tests include the A1C test, fasting blood glucose test, oral glucose tolerance test (OGTT), and a random blood glucose test when symptoms are present.

Learn More

Diabetes Tests – CDC
https://www.cdc.gov/diabetes/diabetes-testing/index.html

Explains the different tests used to diagnose diabetes and what the results mean.

Type 2 Diabetes infographic – click to enlarge

What Causes Type 2 Diabetes?

Type 2 diabetes develops when your body becomes resistant to insulin or does not produce enough insulin to keep blood sugar at a healthy level. Several factors can increase your risk, including genetics, age, lifestyle, and certain medical conditions.

Risk factors may include:

  • Family history of diabetes
  • Being overweight or having obesity
  • Physical inactivity
  • Prediabetes
  • High blood pressure
  • High cholesterol
  • History of gestational diabetes
  • Polycystic ovary syndrome (PCOS)
  • Increasing age

Learn More

Type 2 Diabetes – NIDDK
https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabetes

Learn about the causes, risk factors, and how insulin resistance leads to type 2 diabetes.

What Can Make Type 2 Diabetes Worse?

Type 2 diabetes develops when your body becomes resistant to insulin or does not produce enough insulin to keep blood sugar at a healthy level. Several factors can increase your risk, including genetics, age, lifestyle, and certain medical conditions.

Risk factors may include:

  • Family history of diabetes
  • Being overweight or having obesity
  • Physical inactivity
  • Prediabetes
  • High blood pressure
  • High cholesterol
  • History of gestational diabetes
  • Polycystic ovary syndrome (PCOS)
  • Increasing age

Learn More

Type 2 Diabetes – NIDDK
https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabetes

Learn about the causes, risk factors, and how insulin resistance leads to type 2 diabetes.

Prevention

Although not every case can be prevented, healthy lifestyle habits can greatly reduce your risk of developing type 2 diabetes or delay its onset.

Helpful prevention strategies include:

  • Maintain a healthy weight.
  • Eat a balanced diet.
  • Be physically active most days of the week.
  • Avoid smoking.
  • Limit sugary drinks.
  • Get regular medical checkups.
  • Follow your provider’s recommendations if you have prediabetes.

Learn More

Prevent Type 2 Diabetes – CDC
https://www.cdc.gov/diabetes/prevention/index.html

Provides practical steps to reduce your risk of developing type 2 diabetes.

Labs

Several laboratory tests are commonly used to diagnose diabetes and monitor how well it is being managed.

Common laboratory tests include:

  • Hemoglobin A1C (HbA1c): Measures your average blood sugar over the past 2–3 months.
  • Fasting Blood Glucose: Measures your blood sugar after not eating for at least 8 hours.
  • Random Blood Glucose: Measures your blood sugar at any time of day.
  • Comprehensive Metabolic Panel (CMP): Evaluates kidney function, liver function, and electrolytes.
  • Lipid Panel: Measures cholesterol and triglycerides.
  • Urine Albumin-to-Creatinine Ratio (UACR): Screens for early kidney damage.

Learn More

A1C Test – CDC
https://www.cdc.gov/diabetes/diabetes-testing/prediabetes-a1c-test.html

Explains what the A1C test measures and how it helps monitor diabetes.

Blood Glucose Test – NIH MedlinePlus
https://medlineplus.gov/lab-tests/glucose-test/

Provides information about blood glucose testing and what the results may indicate.

Diagnostics

Several laboratory tests are commonly used to diagnose diabetes and monitor how well it is being managed.

Common laboratory tests include:

  • Hemoglobin A1C (HbA1c): Measures your average blood sugar over the past 2–3 months.
  • Fasting Blood Glucose: Measures your blood sugar after not eating for at least 8 hours.
  • Random Blood Glucose: Measures your blood sugar at any time of day.
  • Comprehensive Metabolic Panel (CMP): Evaluates kidney function, liver function, and electrolytes.
  • Lipid Panel: Measures cholesterol and triglycerides.
  • Urine Albumin-to-Creatinine Ratio (UACR): Screens for early kidney damage.

Learn More

A1C Test – CDC
https://www.cdc.gov/diabetes/diabetes-testing/prediabetes-a1c-test.html

Explains what the A1C test measures and how it helps monitor diabetes.

Blood Glucose Test – NIH MedlinePlus
https://medlineplus.gov/lab-tests/glucose-test/

Provides information about blood glucose testing and what the results may indicate.

Treatment & Management

Treatment Options

Treatment focuses on keeping your blood sugar within a healthy range and reducing your risk of long-term complications. Your treatment plan will depend on your overall health, blood sugar levels, and other medical conditions.

Treatment options may include:

  • Healthy eating
  • Regular physical activity
  • Weight management
  • Diabetes education
  • Blood sugar monitoring
  • Medications
  • Insulin therapy for some people

Learn More

Living With Diabetes – CDC
https://www.cdc.gov/diabetes/living-with/index.html

Provides practical information about managing diabetes through healthy lifestyle habits and medical care.

Lifestyle Changes

Healthy lifestyle habits are one of the most important parts of managing type 2 diabetes. Even small changes can improve blood sugar control and reduce your risk of complications.

Helpful lifestyle changes include:

  • Eat a balanced diet with plenty of vegetables, fruits, whole grains, and lean proteins.
  • Limit sugary drinks and highly processed foods.
  • Be physically active most days of the week.
  • Maintain a healthy weight.
  • Stop smoking if you smoke.
  • Limit alcohol.
  • Get enough sleep each night.
  • Take medications as prescribed.
  • Attend regular healthcare appointments.

Learn More

Diabetes Meal Planning – CDC
https://www.cdc.gov/diabetes/healthy-eating/index.html

Provides practical nutrition tips, meal planning ideas, and healthy food choices for people living with diabetes.

Medications

Many people with type 2 diabetes take medications to help lower their blood sugar. Your healthcare provider will recommend the treatment that best fits your needs based on your health and blood sugar goals.

Common medications include:

  • Metformin: Often the first medication prescribed for type 2 diabetes.
  • GLP-1 Receptor Agonists: Such as semaglutide (Ozempic®) and dulaglutide (Trulicity®), which help lower blood sugar and may support weight loss.
  • SGLT2 Inhibitors: Such as empagliflozin (Jardiance®) and dapagliflozin (Farxiga®), which help remove excess glucose through the urine.
  • Insulin: May be needed when blood sugar cannot be adequately controlled with other treatments.

Learn More

Metformin – NIH MedlinePlus
https://medlineplus.gov/druginfo/meds/a696005.html

Explains how metformin works, how to take it safely, and possible side effects.

Type 2 Diabetes Medicines – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/diabetes/overview/managing-diabetes/medicines-treatments

Reviews the different medications used to treat type 2 diabetes and how they work.

Procedures

Most people with type 2 diabetes do not need a medical procedure to treat their diabetes. However, some people may need procedures to help manage complications or improve blood sugar control if other treatments have not been successful.

Procedures that may be recommended include:

  • Metabolic (Bariatric) Surgery: May be considered for some people with obesity and type 2 diabetes to improve blood sugar control.
  • Insulin Pump Placement: For selected people who require intensive insulin therapy.
  • Continuous Glucose Monitor (CGM) Placement: A small sensor worn on the body that continuously measures blood sugar levels and helps guide treatment.

Learn More

Metabolic Surgery for Type 2 Diabetes – American Diabetes Association (ADA)
https://diabetes.org/about-diabetes/diabetes-treatment/metabolic-surgery

Learn how metabolic surgery may improve blood sugar control for some people with type 2 diabetes.

Continuous Glucose Monitoring – CDC
https://www.cdc.gov/diabetes/managing/managing-blood-sugar.html

Learn how continuous glucose monitoring can help people better manage their diabetes.

What Should You Expect Long-Term?

Type 2 diabetes is a lifelong condition, but many people successfully manage it and live healthy, active lives. Keeping your blood sugar, blood pressure, and cholesterol within your target ranges can greatly reduce your risk of long-term complications.
Regular follow-up appointments, healthy lifestyle habits, and taking medications as prescribed are important parts of long-term diabetes management.

What Can You Do At Home?

Taking an active role in your care can help you successfully manage type 2 diabetes and reduce your risk of complications.

Helpful tips include:

  • Check your blood sugar as recommended by your healthcare provider.
  • Take medications exactly as prescribed.
  • Eat balanced meals and watch portion sizes.
  • Stay physically active most days of the week.
  • Drink plenty of water.
  • Perform daily foot checks for cuts, blisters, or sores.
  • Wear comfortable, well-fitting shoes.
  • Keep all medical appointments.
  • Stay up to date on recommended vaccines.

Learn More

Living With Diabetes – CDC
https://www.cdc.gov/diabetes/living-with/index.html

Provides practical tips for living well with diabetes and reducing your risk of complications.

Frequently Asked Questions

Can I still eat sugar if I have diabetes?

Yes. You can still enjoy sweets occasionally, but portion size and overall carbohydrate intake are important. A balanced meal plan can help you enjoy a variety of foods while keeping your blood sugar within your target range.

Will I always need medication?

Not always. Some people manage type 2 diabetes with healthy lifestyle changes alone, while others need medication or insulin. Your treatment plan may change over time.

Can exercise lower my blood sugar?

Yes. Regular physical activity helps your body use insulin more effectively and can lower blood sugar levels.

Can diabetes be prevented?

Many cases of type 2 diabetes can be delayed or prevented through healthy eating, regular physical activity, maintaining a healthy weight, and treating prediabetes.

How often should I see my healthcare provider?

Most people with diabetes should have regular follow-up visits throughout the year. Your provider will recommend a schedule based on your individual needs.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • What should my A1C goal be?
  • How often should I check my blood sugar?
  • Which medications are right for me?
  • Do I need to see a diabetes educator?
  • What foods should I eat or avoid?
  • How often should I have my eyes, kidneys, and feet checked?
  • What symptoms should I call you about?

Specialist Referrals

Many people with type 2 diabetes receive care from their primary care provider. Depending on your individual needs, your provider may recommend additional specialists.

You may be referred to:

  • Endocrinologist: A doctor who specializes in hormone disorders such as diabetes.
  • Registered Dietitian: Provides individualized nutrition counseling.
  • Certified Diabetes Care and Education Specialist (CDCES): Helps teach blood sugar monitoring, medications, healthy eating, and diabetes self-management.
  • Podiatrist: Evaluates and treats foot problems.
  • Ophthalmologist or Optometrist: Performs yearly diabetic eye examinations.
  • Nephrologist: Treats kidney disease if complications develop.

Learn More

Find a Diabetes Education Program – Association of Diabetes Care & Education Specialists (ADCES)
https://www.diabeteseducator.org/living-with-diabetes/find-an-education-program

Find diabetes education programs and certified diabetes care specialists near you.

Is Type 2 Diabetes Curable?

Many people with type 2 diabetes receive care from their primary care provider. Depending on your individual needs, your provider may recommend additional specialists.

You may be referred to:

  • Endocrinologist: A doctor who specializes in hormone disorders such as diabetes.
  • Registered Dietitian: Provides individualized nutrition counseling.
  • Certified Diabetes Care and Education Specialist (CDCES): Helps teach blood sugar monitoring, medications, healthy eating, and diabetes self-management.
  • Podiatrist: Evaluates and treats foot problems.
  • Ophthalmologist or Optometrist: Performs yearly diabetic eye examinations.
  • Nephrologist: Treats kidney disease if complications develop.

Learn More

Find a Diabetes Education Program – Association of Diabetes Care & Education Specialists (ADCES)
https://www.diabeteseducator.org/living-with-diabetes/find-an-education-program

Find diabetes education programs and certified diabetes care specialists near you.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care if you experience:

  • Loss of consciousness
  • Severe confusion
  • Difficulty waking up
  • Severe chest pain
  • Shortness of breath
  • Symptoms of a stroke
  • Seizures
  • Extremely high or low blood sugar that does not improve with treatment
  • Severe dehydration or persistent vomiting

Seek medical attention promptly if you develop:

  • Fever with uncontrolled blood sugar
  • Redness, swelling, or drainage from a foot wound
  • New vision changes
  • Persistent high blood sugar despite following your treatment plan

Learn More

Diabetic Emergencies – CDC
https://www.cdc.gov/diabetes/living-with/index.html

Learn to recognize warning signs of diabetes emergencies and when immediate medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Type 2 Diabetes – NIH MedlinePlus
https://medlineplus.gov/type2diabetes.html

Patient-friendly information about type 2 diabetes, symptoms, treatment, medications, and living with diabetes.

Type 2 Diabetes – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabetes

Comprehensive information about causes, diagnosis, treatment, and preventing complications.

Diabetes – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/diabetes/

Reliable information about diabetes prevention, management, nutrition, physical activity, and diabetes education.

American Diabetes Association (ADA)
https://diabetes.org/

Evidence-based patient education, diabetes news, meal planning, medications, and healthy living resources.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. If you have questions about your diabetes or experience worsening symptoms, contact your healthcare provider. Call 911 or seek emergency medical care if you experience signs of a medical emergency.

Get personalized care for Type 2 Diabetes

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.